MEDICARE: DR. WENDY YVETTE MAY SHEM O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152WC0802X	Corneal and Contact Management Optometrist	10731TPG	CA
2	152WS0006X	Sports Vision Optometrist	10731TPG	CA
3	152W00000X	Optometrist	10731TPG	CA
4	152WV0400X	Vision Therapy Optometrist	10731TPG	CA
5	152W00000X	Optometrist	10731T	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1821050162
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WENDY YVETTE MAY SHEM O.D.

Provider Business Mailing Address
First Line	:	1368 E WALNUT ST
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91106-1528
Country	:	US
Telephone Number	:	626-396-3105
Fax Number	:	626-396-8816

Provider Business Practice Location Address
First Line	:	1368 E WALNUT ST
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91106-1528
Country	:	US
Telephone Number	:	626-796-3105
Fax Number	:	626-796-8816

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/03/2006
Last Update Date	:	02/27/2023

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